Individual provider Active NPI

Sarah M Yi, O.D.

  • Optometrist
  • Waianae, HI
National Provider Identifier
1801144993
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
895 Issued in HI
Practice address
86-120 Farrington Hwy Ste C301
Waianae, HI 96792-3072
Phone
(808) 696-7021
NPI assigned
Aug 21, 2012
Reactivated
Feb 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 895 HI Primary

Addresses

Primary practice location

86-120 Farrington Hwy Ste C301
Waianae, HI 96792-3072

Mailing address

86-120 Farrington Hwy Ste C301
Waianae, HI 96792-3072
Phone (808) 696-7021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101001629 KY Practitioner - Optometry 5193965044 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
895HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Irefract PC Optometrist CurrentSince Sep 18, 2021 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services Past Accepting new patients

Locations

8525 E Pinnacle Peak Rd
Ste 101
Scottsdale, AZ 85255
Phone (502) 390-2030

3408 Bardstown Rd
Louisville, KY 40218
Phone (502) 390-2030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1801144993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-120 FARRINGTON HWY STE C301",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923072",
            "telephone_number": "808-696-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-120 FARRINGTON HWY STE C301",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923072",
            "telephone_number": "808-696-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "SARAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2019-03-01",
        "deactivation_date": "2019-02-13",
        "reactivation_date": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.